Most Relevant Information
Provider Data
| NPI Number: | 1003290891 |
| Provider Name: | TANYA SYKES-CLARK M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP008919 |
Most Important Dates
| Enumeration Date: | 07/13/2015 |
| Last Updated: | 10/15/2018 |
Provider Practice Location
6179 CHASTAIN WAY
FAIRBURN
GA
30213
Practice Location Phone/Fax
| Phone: | 4044212896 |
| Fax: |
Provider Mailing Location
6179 CHASTAIN WAY
FAIRBURN
GA
302132479
Provider Mailing Phone/Fax
| Phone: | 4044212896 |
| Fax: |